(Company name) maintains, reviews and updates the
Exposure Control Plan (ECP) at least annually, and whenever necessary to reflect new or modified tasks, procedures and engineering controls * that
affect occupational exposure. The ECP is also updated to reflect new or revised employee positions with occupational exposure.

This facility has had ________ cases of confirmed TB in the last 12
months.

(b) This facility is located in __________ county which has reported cases of TB in the last twelve month reporting period.

Employee Exposure Determination

ALL employees in the following job classifications have or may have
occupational exposure to TB:

(organization's name ) uses the following procedures to assure that all employees with job tasks that offer potential for occupational exposure
are informed of the hazard and take proper precautions against exposure to TB.

(*) ________ (responsible person(s)/department) ________ maintains contact with all outside contractors who provide temporary or contract employees
who may incur occupational exposure. This allows the contractor to institute precautions to protect his or her employees. Theses contractors are
informed of the TB hazard and the facility's procedures for protecting themselves from exposure.

(*)The sign must include a signal word (e.g.
"STOP", HALT", or "NO ADMITTANCE") or biological hazard symbol and a
descriptive message (e.g., "Respiratory Isolation, No Admittance Without
Wearing a Type N95 or More Protective Respirator", or "See nurses'
station before entering this room") [1910.145(f)(4)]
- Specifications for Accident Prevention Signs and Tags.

(*) Signs are posted at the entrance to:

(*) 1) Rooms or areas used to isolate an individual with suspected or confirmed infectious TB.

(*) 2) Areas where procedures or services are being performed on an individual with suspected/confirmed infectious TB, and

(*) 3) clinical land research laboratories where M. tuberculosis is present.

(*) All systems carrying air that may be contain
aerosolized M. Tuberculosis are labeled at all points where ducts are accessed prior to HEPA filter, at fans and at the discharge outlets of non-HEPA
filtered direct discharge systems. The label says: "Contaminated Air-Respiratory Protection Required".
[OSHA
Directive CPL 2.106, L.4. (1996)].

(*) ____ (organization's name) ____ notifies employees entering the laboratory and the autopsy room of the occupational hazards by using signs at
the entrance to both these locations. These signs indicate the name and telephone number of the director of the laboratory, infectious agent- M.
tuberculosis, and the special requirements for entering the laboratory or autopsy room. The sign displays the Biohazard symbol.

Exposure Incident Reporting

All employees must report exposure incidents immediately to (responsible person(s)/department). ____ (Organization's name) is responsible for
investigating, evaluating, and documenting the circumstances surrounding the exposure incident for instituting changes to prevent similar occurrences.

The following procedures are used to investigate/evaluate exposure incidents at (organization's name):

Prompt Identification of Individuals With Suspected or Confirmed Infectious TB

(Organization's name) considers an individual to be suspected of having Infectious TB (unless the individual's condition has been medically
determined to result from a cause other than TB) if either the company or any of its employees determine(s)/learn(s) that the individual:

(*) has a persistent cough lasting 3 or more weeks with 2 or more signs and symptoms of active infectious TB (e.g., bloody sputum, night sweats, weight
loss, fever, anorexia).

(*) has a positive AFB smear.

Based on the criteria listed above, (Organization's name) utilizes the following procedures for early detection of individuals with
suspected/confirmed infectious TB.

Procedures for Transfer of Individuals With Suspected or Confirmed Infectious TB:

If/when an isolation room is not available at our facility, the individual is transferred within 5 hours of identifying the infectivity to a
facility (name of facility) where isolation rooms are available. The following procedures for transfer of an individual with suspected/ confirmed
infectious tuberculosis are utilized:

While awaiting transfer, the individual is masked or segregated to protect employees who are without respiratory protection. (organization's
name) uses the following procedures/equipment when masking and segregating an individual with suspected/confirmed infectious TB:

If a situation arises and the individual is not able to be transferred within 5 hours of identifying the suspected or confirmed infectious TB, the
following procedures, including AFB isolation, are instituted:

(*) The following procedures are used to isolate individuals with suspected or confirmed infectious TB.

(*) All individuals with suspected or confirmed infectious TB are placed in AFB isolation rooms or areas.

(*) ______ (organization's name) ______ uses the following procedures to minimize the time an individual with suspected or confirmed
infectious TB remains outside of an AFB isolation room or area: ______

(*) Services that cannot be rendered in the patient's
room are provided in and area that meets the requirements for an AFB isolation room.

(*) Elective high-hazard procedures and surgery are delayed until the
patient is non-infectious.

(*) HIGH-HAZARD PROCEDURES

(*) High-hazard procedures (where TB may be aerosolized)
require precautions to prevent/minimize occupational exposure to infectious TB. The
following high-hazard procedures are performed at this facility: ______

(*) Whenever HEPA filters are changed, the system is inspected and its performance monitored in accordance with current USPHS guidelines. HEPA
filters are changed every ______ in this facility or whenever.

(*) Every six months-HEPA filters in contained air exhaust systems are inspected, maintained and performance monitored in accordance with
current USPHS guidelines.

Clinical and/or Research Laboratories

The ________ (type of laboratory-clinical or research) ________ operates at biosafety level ________ as determined by ________ (name of
laboratory director) ________ for ________ (organization's name) ________. This is in
accordance with CDC/NIOSH Biosafety in Microbiological and Biomedical Laboratories).

The following controls are in operation in the laboratory
at this facility ________ (list controlled access, anterooms, sealed windows and other
controls required in the standard and determined necessary by the laboratory director):

The procedures in this Exposure Control Plan minimize the
occupational exposure to TB. The procedures for isolating and managing care are used until
the individual with suspected or confirmed infectious TB is determined to be
non-infectious or until the diagnosis for TB is ruled out.